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APPLICATII .+1 �OR CONSTRUC'. _��N PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �rr <br /> BUILDING DEPARTMENT HEA7ING SYSTEM: U GAS ❑ELECTRiC ❑ <br /> 259•8810 <br /> : DEMOLITION , i COMBINATION I I BUILDING I I MECHANICAL 17G PLUMBING I I SIGN <br /> OWNEfl M�ILAOOFESS QiY jlP PHOI.c <br /> Olson's Market 21309 44th Ave. N. Mountlake Terrace, 98043 771-1266 <br /> TENANT M�ILAtlDRESS CITY 21V PHONE <br /> Starbuck's Coffee 2203 Airport Wav S. Seattle, 98134 547-4192 <br /> PPCHITECT OR DESIGNEN MAIL ADDRESS QTY iIP PHONE <br /> GENE�4LCONTRACiOB IAAILAD�PE55 CITY ,ZIP PHONE SiA7ELIGENSEf <br /> Wilcox Construction 123 4th Ave. N. Edmonds, 98020 774-4185 WILCOCI94Q0 <br /> MCGIIAHIGALCONIl1�ClOf1 MAII.AOUf11E55 L'IlY 71P PHONE S7ATELICENSE■ <br /> Nardone Mechanical Contr. P.O. Box 848 Edmonds, 98020 776-6200 NARDOMC152B2 <br /> PLUMBING CONTRACTOP MAIL ADDRESS CIiY ZIP PHONE STATE LICENS�I <br /> Nardone Mechanical Contr. . P.O. Box 848 Edmonds, 98020 776-6200 NARDOMC152B2 <br /> CLASS OF WORK <br /> •. I NEW I I ADDITION I}CI ALTERATION I .i REPAIR I.I DEMOUTION ❑ WOODSTOVE/FRPL INSERT ❑ SUILDING RELOCATION <br /> CONiACT PERSON ANO PHONE NO. <br /> CONiPACT PRICE OP WORB <br /> DESGflIBE WORK AN�SOUARE FOOTAGE INVOIVED <br /> Tie in store for Starbuck's <br /> PROPOSEDUSEOFBUIIDING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � Grocer APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> LEC�AI�ESCRIPTIONOFPROPERTY�5110WNBELOWORATTACHFOURGOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WGRK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or eiocK oF _ NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> . OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTR TORS LAW 1827 RCW AND 296200 WAC. <br /> x 1/%�..I� i' �,/,!/d,(i_.c_ � 10/12/94 <br /> �i PfiQIECTADDRE55 5�—�p� 18497 �_ on,e <br /> 4919 Ever reen W8 CrtYBU5ME55LICEN5EN0. _ <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SVSTEMS—B.T.U. M E.A. ; <br /> L�VA70RY(WASH BASIN) i UNIT HEATERS—B.T.U. M ; <br /> SHOWER � CLOTHES DRYEAS � <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN ; <br /> � � OISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAY ; WATER HEATER <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINHL ' METAL FIREPLACE 8 CHIMNEY � <br /> ' DRINKING FOUNTAIN i FIREPLACE INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING ; <br /> ROOF DRAINS—RAIN!EADERS � EXHAUST FAN � i <br /> �— <br /> �_ SINK(SERVICE—BAR,ETC.) 28.;00 ' <br /> 1 Elect. HWT 7.00 � <br /> 2 Floor sinks � 14 " 0 ' <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL $ ; SUB TOTAL $ ; <br /> PERMIT $ �� PERMI? $ � <br /> TOTALFEE $ ' TOTALFEE $ � <br /> FOR OFFICE USE ONLY: '1 S� �� <br /> FRONiSETBAGK REARSEIBACK SIDESETBACK PLANCHECKNUM9ER FEE RECEIPTNO. <br /> USEZONE LOiAREA VACANTSITE FEES VALUATION FEE � <br /> BUILDING • . i <br /> TYPEOFLOHiS.ALLOWABLE TYPEOFL@lSi.ACiWL atuP�NCv Na.OVOWFLuxGuxnS � - <br /> GPWG PLUMBING � � <br /> r— <br /> SIZEOFOLUG, NOAFSTORIES 6ASEMENT IdECHANICAL � <br /> i <br /> OGCUPANCV IOAD FIFE SPRNNLERS REO'D 4iEIGHT LIM11Al ION ADDITIONAL PU1N CHECK � <br /> i <br /> SPRIP:KLER � <br /> i <br /> RERSOH FOR SPRIMNlERS <br /> STATE BUiLDING SURCHARGE i <br /> INTAKEBV PLnNSAPPf1UVE0�Y CITYOFEVERETT PUBLICWORNS � <br /> L.00ALSALES � <br /> TAX CODEIS 3105 TOTAL ' <br />